Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $4,429.00 / $17,030.00	Facility		$195.18	$4,429.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $176.66 / $655.35	Professional		$121.30	$176.66	$655.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $190.83 / $395.02	Professional		$126.00	$190.83	$395.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $100.00 / $1,514.82	Facility		$67.30	$100.00	$1,514.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $175.55 / $395.81	Professional		$122.89	$175.55	$395.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $572.00 / $900.00	Facility		$339.00	$572.00	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $207.05 / $482.15	Professional		$136.50	$207.05	$482.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $187.33 / $304.43	Professional		$146.29	$187.33	$304.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $211.15 / $390.59	Professional		$128.41	$211.15	$390.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $867.72 / $897.18	Facility		$55.00	$867.72	$897.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $916.16 / $1,474.48 / $1,731.38	Professional		$916.16	$1,474.48	$1,731.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $174.89	Professional		$32.34	$32.34	$174.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.57 / $198.74 / $320.31	Facility		$131.57	$198.74	$320.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $239.30 / $508.67	Professional		$141.16	$239.30	$508.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $403.08 / $667.55	Professional		$403.08	$403.08	$667.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $193.11 / $281.88	Professional		$132.88	$193.11	$281.88
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $207.36 / $501.13	Professional		$150.28	$207.36	$501.13